Provider Demographics
NPI:1114682168
Name:ESTRELLA HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ESTRELLA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDEL
Authorized Official - Middle Name:ADRAIN
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-792-7282
Mailing Address - Street 1:4155 E JEWELL AVE STE 816
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4519
Mailing Address - Country:US
Mailing Address - Phone:303-756-6756
Mailing Address - Fax:303-756-1189
Practice Address - Street 1:4155 E JEWELL AVE STE 816
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4519
Practice Address - Country:US
Practice Address - Phone:303-756-6756
Practice Address - Fax:303-756-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO33080577Medicaid